使用虚拟患者比较不同的检索实践策略:一个分层的随机试验.
Renan Gianotto-Oliveira1,2, Naomi Steenhof3, Dario Cecilio-Fernandes1,4
1School of Medical Sciences, University of Campinas, Campinas, Brazil.
Medical teacher
|January 8, 2026
概括
简短答案问题 (SAQ) 在虚拟患者 (VP) 模拟中显著改善了医学学生的长期知识保留能力. 使用VP案例和多选题 (MCQ) 的检索实践保持了知识,表明SAQ最有效地增强了学习.
科学领域:
- 医学教育 医学教育
- 认知科学 认知科学
- 基于模拟的学习
背景情况:
- 有效的检索实践策略对于医学教育中长期保留知识至关重要.
- 虚拟患者 (VP) 模拟平台为医疗培训和评估提供了一个动态的环境.
研究的目的:
- 为了比较三个检索实践策略的有效性 - - 重复解决VP案例,回答多项选择题 (MCQ) 和回答短答题 (SAQ) - - 对医学学生的长期记忆保留.
- 在VP模拟平台中评估这些策略的影响.
主要方法:
- 80名医学五年级学生参加了分层随机试验.
- 学生参与VP案例,然后在一周后进行三种检索实践条件之一 (重新解决案例,MCQ或SAQ).
- 干预后六周,使用综合测试评估了长期保留和学习转移.
主要成果:
- 使用简短答案问题 (SAQ) 的参与者随着时间的推移显示出统计学上显著的绩效改善.
- 重新解决虚拟患者病例和回答多项选择题 (MCQ) 导致知识水平保持.
- 在重复和新问题上的表现之间,或在MCQ和SAQ之间没有发现显著差异.
结论:
- 检索实践,特别是通过SAQ,有效地支持VP模拟中的知识保留.
- 对新问题进行比较的表现表明,检索实践可能会增强将学习转移到新的临床场景.
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